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CTRI Number  CTRI/2018/04/013544 [Registered on: 27/04/2018] Trial Registered Retrospectively
Last Modified On:
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   evaluating changes in the joint present in front of ear in patients with no problem using dental radiographs 
Scientific Title of Study   Assessment of condylar changes in asymptomatic temporomandibular joints using digital panoramic radiography - A descriptive epidemiological study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr D R CHANDINI 
Designation  Post Graduate 
Affiliation  Vishnu Dental College 
Address  Department of Oral Medicine and Radiology Room 1 Block III Vishnu Dental College Vishnupur Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  9703743027  
Fax    
Email  dr.chandini29@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Raghavendra Mahadev Naik 
Designation  Reader 
Affiliation  Vishnu Dental College 
Address  Department of Oral Medicine and Radiology Room 1 Block III Vishnu Dental College Vishnupur Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  8861255457  
Fax    
Email  dr.raghmn@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Raghavendra Mahadev Naik 
Designation  Reader 
Affiliation  Vishnu Dental College 
Address  Department of Oral Medicine and Radiology Room 1 Block III Vishnu Dental College Vishnupur Bhimavaram


ANDHRA PRADESH
534202
India 
Phone  8861255457  
Fax    
Email  dr.raghmn@gmail.com  
 
Source of Monetary or Material Support  
Vishnu Dental College 
 
Primary Sponsor  
Name  Dr D R Chandini 
Address  Department of Oral Medicine and Radiology Room 1 Block III Visnu Dental College Vishnupur Bhimavaram 534202 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
nil  nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr D R Chandini  Vishnu Dental College  Department of Oral Medicine and Radiology Room 1 Block III Vishnu Dental College Vishnupur Bhimavaram
West Godavari
ANDHRA PRADESH 
9703743027

dr.chandini29@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Temporomandibular disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1) Patients aged between 20 to 70 yrs.
2) Asymptomatic subjects with TMD.(Patients who are not aware of joint problems but can be diagnosed through radiograph)
 
 
ExclusionCriteria 
Details 
1)Subjects with history of mandibular fractures and underwent surgery of mandible in the past.
2)Subjects with developmental anomalies affecting the growth of jaw or syndromes of craniofacial structures.
3)Subjects who underwent orthodontic treatment in the past.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine condylar morphological changes,condylar bone changes,asymmetry of condyle, in accordance with dentition status and their correlation with age and gender of patient using digital orthopantomograph.  To determine condylar morphological changes,condylar bone changes,asymmetry of condyle, in accordance with dentition status and their correlation with age and gender of patient using digital orthopantomograph. 
 
Secondary Outcome  
Outcome  TimePoints 
1)To evaluate condylar bone density in accordance with dentition status and their correlation with age and gender of patient using digital orthopantomograph.
2)To assess dentition status according to eichner’s index and their correlation with age and gender of patient using digital orthopantomograph. 
1)To evaluate condylar bone density in accordance with dentition status and their correlation with age and gender of patient using digital orthopantomograph.
2)To assess dentition status according to eichner’s index and their correlation with age and gender of patient using digital orthopantomograph. 
 
Target Sample Size   Total Sample Size="400"
Sample Size from India="400" 
Final Enrollment numbers achieved (Total)= "400"
Final Enrollment numbers achieved (India)="400" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/12/2015 
Date of Study Completion (India) 29/07/2017 
Date of First Enrollment (Global)  21/12/2015 
Date of Study Completion (Global) 29/07/2017 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

The present descriptive epidemiological study was undertaken to determine condylar morphological changes, bone changes, condylar asymmetry, condylar bone density in asymptomatic temporomandibular joints using digital panoramic radiography among subjects. A total of 400 subjects (186 males and 214 females) within the age range of 20-70 years consisting of 5 age groups with 80 patients in each group who had asymptomatic temporomandibular joints were included in the present study. Digital OPG images were taken and analyzed using Digora software.  For the obtained digital image, linear measurements for condylar asymmetry and condylar bone density were drawn digitally by using software tools and obtained data was subjected to statistical analysis The parameters like bone changes, condylar morphology, condylar asymmetry, condylar bone density were recorded and analysed using chi-square, and one way anova analysis.The condylar shapes has found to be quite incongruous in different age-groups. Round condylar morphology was observed higher in younger and older age groups and flat shape was least frequent among asymptomatic subjects in this study. Among condylar bone changes sclerosis was seen higher in younger age group and deformity, flattening of condyles were seen in older age group. Absence of asymmetry of condyles was observed in male subjects while females showed presence of asymmetry of condyles. There is insufficient data with respect to the condylar bone density of patients with asymptomatic TMJs. The present study analyzed the bone density on OPGs, and found the average condylar density in mixed South Indian population.There is insufficient data with respect to the condylar bone density of patients with asymptomatic TMJs. The present study analyzed the bone density on OPGs, and found the average condylar density in mixed South Indian population.

 
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